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Table 7 Keys to success for OHNS boot camps.

From: The Otolaryngology boot camp: a scoping review evaluating commonalities and appraisal for curriculum design and delivery

Boot camp Feature Suggestions
Format One to Seven-day camp
Participants PGY-1 or PGY-2 (junior learners)
Instructors Multidisciplinary instructors (combined OHNS/Anesthesia/Emergency Medicine)
Curriculum: Boot camp objectives 1. Recognize and triage typical OHNS emergencies: airway obstruction and management (infectious obstruction, foreign body, airway bleeding), post-operative bleeding, epistaxis, post-operative medical complications, neck trauma, blocked tracheostomy, and flexible nasal endoscopy
2. Use systematic assessment and management principles taught through ALS and ATLS
3. Perform basic emergency management skills
4. Communicate effectively with the team
Curriculum: Content Didactic Component
 Traditional lecture styles focused on approach and management of typical OHNS emergencies (as above)
Task trainer stations
 Airway: BMV, tracheal intubation, microlaryngoscopy/bronchoscopy, flexible fiberoptic laryngoscopy
 Surgical techniques and care: basics of surgical instruments, cricothyroidotomy, tracheostomy, tracheostomy tube change
 Presentation specific management: epistaxis, post tonsillectomy bleed, PTA
High yield simulation stations
 OHNS-specific simulation: Airway obstruction (post thyroidectomy hematoma, infectious angioedema), epistaxis, post tonsillectomy bleed
 General team-based simulation: postoperative safe handoff, post-operative medical complications (post-obstructive pulmonary edema, post-operative stroke)
Feedback Facilitation of a safe learning environment with emphasis on resident experience
Structured written feedback
 Preparation (assessment of situation), clinical reasoning, knowledge, technical skills82 (see Amin et al.)
Simulation feedback
 Structured debrief and feedback on performance immediately post session
Beyond Boot camp Base boot camp within other welcoming to the profession activities/institutional rituals (welcome Barbeque, resident retreat etc.)
  1. Suggested boot camp features
  2. ALS: advanced life support, ATLS: advanced trauma life support, OHNS: otolaryngology–head and neck surgery, PTA: peritonsillar abscess